Using a pillow may facilitiate endotracheal intubation or not in children in normal airway?
Dilek Günay Canpolat1, Mustafa Denizhan Yıldırım2, Kenan Cantekin3, Aynur Akin4
1Erciyes Üniversitesi, Ağız,Diş ve Çene Cerrahisi AD, Anesteziyoloji ve Reanimasyon Uzmanı, Kayseri
2Erciyes Üniversitesi, Pedodonti AD, Anesteziyoloji ve Reanimasyon Uzmanı, Kayseri
3Erciyes Üniversitesi, Pedodonti AD, Kayseri
4Erciyes Üniveristesi, Tıp Fakültesi, Anesteziyoloji ve Reanimasyon AD, Kayseri
Introduction and AIM: Dental problems of children can not be solved under local anesthesia every time. If children has extensive problems and cannot cooperated due to several reasons, general anesthesia may be unavoidable. Airway safety may provide with endotracheal intubation especially for oral procedures because of some potential risks such as aspiration of secretion or foreing bodies. Endotracheal intubation may facilitate by correct positioning of the patient. In this study, it’s aimed to determine using a pillow under the occiput may faciliate endotracheal intubation or not in non-cooperated children whose extensive dental treatments planned under general anesthesia. METHODS: The study protocol was approved by the Local Ethics Committee of Erciyes University, written consents of the parents were obtained. One hundred and fifty ASA I-II pediatric patients, between 3 and 9 aged, who were admitted to the Erciyes University, Faculty of Dentistry, were included in this study. Intubation was performed by two anesthesiologist. Whereas pillow was folded under the occiput in Group 1 (n=75), patient was lied on a flat surface in Group 2 (n=75) during the anesthesia induction and intubation period. RESULTS: There were no statistically significant difference between groups regarding the demographic data (age, weight, gender) (p>0.05). Operation time were similar in both groups (p=0.329). Whereas number of attemps was smilar in both groups (p=0.412), the intubation time was longer in group 1 and this was significantly (p= 0.025). CONCLUSION: Dental anxiety may complicate dental treatments especially in children. The success rate reduces with severe anxiety and lead to repeated procedures. For avoiding repeated procedures general anesthesia is an option. In this study, we concluded that, using a pillow under the patients occiput provided longer intubation time without changing the number of attemps in normaly airway in non-cooperated children whose extensive dental treatments planned under general anesthesia.
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